Glabella good to see you back and so sorry you are still feeling so awful. When you say you "started to take an overdose" do you mean you were about to swallow the overdose, or were you just looking at the meds and thinking about it. Sorry if this sounds intrusive, it's just that as you might already know, there is a big difference between suicide ideation (as in holding the meds, looking at the pack) wondering how many you need to take, and an actual attempt to swallow the meds in an attempt to put an end to the torment. If it is the former, then I can tell you that I have been in that position many times (though I had decided against overdosing) my chosen method was drowning, and I had made a plan and visited the spot on more than one occasion, working out how to scramble down the bank to the water.
Suicide ideation is very common in depression and anxiety and it's not that we want to die, it 's just that we want an end to the torment, the "pointless nothingness" of severe depression, and suicide seems almost inviting at our worst. I can well imagine that you go no help from A & E (the irony of being a patient in A & E) but mental illness can affect anyone as I'm sure you know. In fact the consultant psychiatrist who reviews my progress every 3 months (as I am still an "open case" as have been in secondary care twice in the past) is at present off sick with depression.
I'm sorry but I can't remember how long you have been ill, what meds you are on etc. I think you need to see the GP asap and maybe get your meds increased or changed. I think different Trust have their own arrangements. In mine, they have strict demarcation lines where mental health is concerned. It's a tick box thing, and if you score below 4 you are on the primary care route, GP and mental health nurse at the practice and above a 4 it's CPN and psychiatrist. I am above a 4.
In my experience I don't think GPs know a great deal about mental health. They can prescribe ADs and increase the dose, but it always seemed to me like a fair bit of guesswork. However I think you do need to go back to GP and if you feel you are not getting the help you need, you could ask for a referral to a psychiatrist, who might be more willing to review your meds, change them, add something else to them, than just seeing someone in A & E. I have been struggling a great deal in the past and have recently had another AD added to my original one and it does seem to have had good effect. I'm sure you know it's all trial and error with meds but it sounds like you need your meds reviewed at the very least.
Vicar I think your plan is a good one - thinking about it, we can only show our vulnerability to people who we can trust, and that certainly does not include your colleagues, who will almost certainly perceive it as "weakness" and they will be of the "pull your socks up" school of psychiatry! I hate to say this in a way because it's nasty, but I wish people like this had a taste of the torment of depression and anxiety - I really do.
CIQ glad you have perked up a bit.
Snowy How was the group? Dare I ask 3.5 today maybe? Thinking of you.
Hoochy surprised to hear you say there are not many social work jobs around at the moment, but that's probably because posts are frozen because the savage cuts that this bloody coalition have made to all public services (we don't make any profit do we, so they are not interested). It's all false economy because as you say when "backs are against walls" as they often are in Social Services, then agency staff have to be brought in and paid for of course, earning more per hour than staff on a permanent contract.
It's tough in social work today, but you know what they say "When things get tough, the tough get going" - my advice to you would be to go for Adult Services and you would be really good in Mental Health, given your own experience. Children's services is pretty much "wall to wall" child protection and that is incredibly stressful. Not sure where you are in the country as of course inner cities are struggling with work overload, whereas I think there is less pressure in the Shire counties.
Love to everyone.